Permit Plbg Repipe 5504 Rigel Ct 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000648 Date S/24/12
Property Address . . . . . . 5504 RIGEL CT
Tenant nbr, name . . . . . . FLEET LANDING
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
REPIPE 10 FIXTURES
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Owner Contractor
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NAVAL CONTINUING CARE DAVID GRAY PLUMBING INC.
RETIREMENT FOUNDATION, INC 6491 POWERS AVENUE
1 FLEET LANDING BLVD JACKSONVILLE FL 32217
ATLANTIC BEACH FL 322334599 (904) 724-7211
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Permit PLUMBING PERMIT
Additional desc REPIPE 10 FIXTURES
Permit Fee . . . . 125 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/20/12
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Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00
STATE PLBG DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 125 . 00 125 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 129 . 00 129 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMEBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRFss: _S�rd
XEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oF FECFURE QTY TYPE oF FEffURE QTY.
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
RE-PIPE'
:,J � QTY
TYPE oF Fmmm QTY TYPE oF Fvrrupm
Bathtub Septic Tank&Pit
Clothes Washer Shower
Dishwasher Shower Pan
Drinking Fountain Slop Sink
Floor Drain Three Compartment Sink
Floor Sink Toilet
Hose Bibs Urinal
Kitchen Sink Vacuum Breakers
Laundry Tray Water'Connected Appliances
Lavatory Water Heater
Other Fixtures Water Treating System
NUSCELLANEOUS:
• Sewer Replacement C1 Back Flow Preventer o Grease Interceptor(Trap) gallons(Requires 3 sets of plans)
• Lawn Sprinlder System-Number of Heads ci Well
**SJRWD Well Completion Form. Completed form to be submitted to Ge—Building Department forfimal inspection."
ci Other
or six months.1 hereby certify that I have read
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned f
this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
or not Ibc permit does not give authority to violate the provisions of any other state or local-law regulation construction or the performance of construction.
Property Owners Name Phone Number
Plumbing Company DAVID GRAY I PWMBING, INC. Office phone 724-7211 Fax—
Jacksonville, FL 32217
6491 Powers Avenue city
Co. Address: State Certification/Registration CK 022586
License Holder(Print): 0,—
A,Z"A"U:
ir 4441
Notarized Signature of License Holder 1 40, day of
wom and subscribed before me this
b a -of Flon�a
t P 1-c St t'
ajor
10
Notary Public State of Florida
IL Neal R Major
My Commission EE032510 ignature of Notary Public
Expires 12/201/2014